Hodels-Rubens Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054006670 Issued in IL

Legal business name

HODELS-RUBENS PHARMACY

Practice address

1029 S Main St
Rockford, IL 61101-1417

Phone

(815) 968-5779

NPI assigned

Feb 11, 2015

Last updated

Feb 11, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ruben Samuel Jr.

Title

Pharmacist/Owner

Phone

(815) 968-5779

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1285025346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 S MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011417",
            "telephone_number": "815-968-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 S MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611011417",
            "telephone_number": "815-968-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODELS-RUBENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "815-968-5779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054006670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard James Hitz, MSN/BC-FNP/APN
• Kelly A Hix, PT, MPT
• Christina Nichole Hobson, CADC
• Nadine Hobson
• Tamara Hobson
• Robert G Hodge, MD
• Daniel Francis Hoernecke, DC
• Kimberly Ann Hoessel, CCC-SLP
• Dana Hoffman, C.N.M.
• Heath A. Hoffman, D.P.M.

• Community/Retail Pharmacy in Rockford, IL
• Providers in Rockford, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.